NPIMap

Organization Active NPI

Krishan Dental Limited

  • General Practice Dentistry
  • Joliet, IL
National Provider Identifier
1699917153
Registry record updated Mar 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019026341 Issued in IL
Legal business name
KRISHAN DENTAL LIMITED
Practice address
825 Plainfield Rd
Joliet, IL 60435-5900
Phone
(815) 726-6000
NPI assigned
Mar 30, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Shweta Kamal, D.D.S.
Title
President
Phone
(815) 726-6000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 019026341 IL Primary

Addresses

Primary practice location

825 Plainfield Rd
Joliet, IL 60435-5900

Mailing address

2743 Stockton Rd
Naperville, IL 60564-9470
Phone (773) 742-8471

Other identifiers 1

IdentifierTypeStateIssuer
179563MedicaidIL

Other names 1

  • Joliet Family Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Downer Place Dental2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1238371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238371200000",
    "number": "1699917153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2743 STOCKTON RD",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605649470",
            "telephone_number": "773-742-8471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 PLAINFIELD RD",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604355900",
            "telephone_number": "815-726-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISHAN DENTAL LIMITED",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-30",
        "last_updated": "2009-03-30",
        "status": "A",
        "authorized_official_last_name": "KAMAL",
        "authorized_official_first_name": "SHWETA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-726-6000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019026341",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "179563",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Joliet Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Joliet, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.